Tirzepatide: adverse event reports filed with FDA

2,522

reports as suspect product

0% of all reports · about 379 a year

1,257

reports, 12 months to June 2026

993 in the 12 months before

58.4%

marked serious by the reporter

28% across the class

1.7%

record death among outcomes, as reported

44 reports · not verified by FDA

Reports by month, five years

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Tirzepatide reports recording the termmedian drug in glp-1 receptor agonist

1. Product tampering16.2%408
2. Nauseafeeling sick13%329
3. Vomitingbeing sick11.9%299
4. Diarrhoealoose or frequent stools9%227
5. Constipationconstipation5.1%128
6. Drug interactionan interaction between medicines4.8%121
7. Fatiguetiredness4.6%115
8. Off label useused for a purpose or in a way not on the label4.1%104
9. Acute kidney injurysudden loss of kidney function3.5%89
10. Decreased appetitereduced appetite3.5%89
11. Drug ineffectivethe medicine did not work as expected3.2%81
12. Incorrect dose administeredthe wrong dose was given3.1%79
13. Dizzinesslight-headedness or unsteadiness3.1%78
14. Abdominal painstomach or belly pain3.1%77
15. Weight decreasedweight loss3%75
16. Dehydrationdehydration2.8%71
17. Headachehead pain2.8%70
18. Abdominal pain upperupper stomach pain2.6%65
19. Anxietyanxiety2.3%57
20. Illness2.2%56
21. Gastrointestinal disorder2.1%53
22. Malaisegeneral feeling of being unwell2.1%53
23. Weight increasedweight gain2%51
24. Hypotensionlow blood pressure1.9%49
25. Painpain, site not specified1.7%43
26. Pancreatitisinflammation of the pancreas1.7%43
27. Astheniaweakness or lack of energy1.7%42
28. Therapy cessation1.7%42
29. Injection site reactiona reaction where the injection was given1.6%40
30. Palpitationsawareness of the heartbeat1.6%40

Top 30 of 494 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 18 drugs in the glp-1 receptor agonist class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 404,853 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 74.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

The indication field is filled in by the reporter and is often blank; shares are of all 2,522 reports.

In context

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the glp-1 receptor agonist class

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Tirzepatide as a suspect or interacting product; reports listing it only as a concomitant medication (496) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.